Faculty of Physical Culture (FPC)

Department of Physiotherapy

Mgr. Ondřej Laštovička

Table of Contents
− Health care system in the Czech Republic
− Physiotherapy – history vs present
− Physiotherapy programme at the Faculty of physical culture
− RRR Centrum

− Assessment and therapy of 1 student

Health Care System in Czech Rep.
− compulsory public health insurance
− 1 insurance company (IC) established by the state
− 6 private IC

− insurance paid by employee + employer or by the state (children,

pensioner, unemployed, …)

− free care – in the facility with the contract with the IC of the patient
Health Care System in Czech Rep.
− governmental or non-governmental (private) facilities

− professions: physician (medical doctor), physiotherapist,

occupational therapists, osteopath, chiropractor, manual
therapist, movement therapist, podiatrist, …
Physiotherapy – History
• after WWII – rehabilitation workers (nurses → rehabilitation
nurses, …), spa physicians → „physiatry“
• 1937 – the first Department of Rehabilitation
– part of the Neurology Clinic at the First Faculty of Medicine, Charles
University, Prague → „Prague School“
→ prof. Lewit, MD – Manipulative therapy
→ prof. Janda, MD – Muscle Function Testing, Sensorimotor
stimulation
→ prof. Vojta, MD – Vojta method
Physiotherapy – History
• 1982 – Rehabilitation and Physical Education Programme
– first programme related to Physiotherapy at university
– Faculty of Physical Education and Sport (Charles University,
Prague)
…
• 1991 – Physiotherapy Programme at FPC (Palacký University)
Physiotherapeutic Care – Present
− provided by Physiotherapists with acquired competence – since
2004 only Bachelor and Master degree programmes at
universities

− postgraduate education – special courses (joints’ mobilisation

techniques, neurophysiological concepts – Bobath, PNF, DNS,
…)
Physiotherapeutic Care – Present
− based on the diagnosis and therapeutic goals defined by
physician and own assessment

− without physician’s indication – prevention, education and

counselling only
Physiotherapy Programmes at FPC
• Bachelor Degree Programme in Physiotherapy
− 3 years
− 30 students
− 180 ECTS (1 credit = 25–30 hours)

• Master Degree Programme in Physiotherapy

− 2 years
− 30 students
− 120 ECTS
 Autumn (Winter) semester Bc./1.y Spring (Summer) semester

Special Pedagogy for Physiotherapists 1 Administration in Health Care 1

Latin and Professional Terminology 3 Physical Therapy 1 2

Basics of Neurophysiology 1 1 Summer Clinical Practice 1 2

Rehabilitation Propaedeutics 3 Summer Sports Course 2

Rehabilitation Nursing and First Aid 3 Basics of Neurophysiology 2 3

Basics of Kinesiology and Examination Methods 1 2 Massage Techniques 1 2

Anatomy 1 2 Basics of Kinesiotherapy 1 2

Biophysics 3 Basics of Kinesiology and Examination Methods 2 3

Physiology 1 2 Anatomy 4

Winter Outdoor Camp - Basic Level 2 Biology for Physiotherapists 1

Pedagogy and Education in Physiotherapy 1 Biomechanics F 3

Psychology 1 for FYZIO and APA 3 Physiology 2 3

Corrective and Adapted P.E. 1 Psychology 2 for Physiotherapy 3

Hygiene 1
 Autumn (Winter) semester Bc./2.y Spring (Summer) semester

Surgery and Traumatology 1 2 Community care 1

Physical Therapy 2 3 Sports of Persons with Disabilities 2

Internal Medicine and Gerontology 3 Surgery and Traumatology 2 3

Clinical Practice 1 3 Clinical Practice 2 3

Neurology 1 2 Summer Clinical Practice 2 2

Pathology 3 Kinesiotherapy Methods 3

Pathophysiology 3 Mobilisation and Soft Tissue Techniques 1 2

Pediatrics 2 Neurology 2 3

Special Kinesiotherapy 1 2 Orthopaedics and Prothetics 3

Massage Techniques 2 3 Special Kinesiotherapy 2 2

Basics of Kinesiotherapy 2 3 Imaging Techniques 1

Pathopsychology 1 1 Pathopsychology 2 3

English as a Foreign Language: Level 4 F 2

 Autumn (Winter) semester Bc./3.y Spring (Summer) semester

Pain-Pathophysiology and Management 1 2 + Winter semester – Geriatrics 1

Occupational Therapy 2

Basics of Pharmacology 2 Pain-Pathophysiology and Management 2 3

Clinical Practice 3 5 Balneology 2

Mobilisation and Soft Tissue Techniques 2 2 Gynaecology 1

Health Care Management 2 Clinical Practice 4 4

Psychiatry 1 1 Mobilisation and Soft Tissue Techniques 3 3

Reflex Methods 3 Psychiatry 2 2

Special Kinesiotherapy 3 3 Social Care 2

Introduction in Research Methods 2 Special Kinesiotherapy 4 2

Anthropomotorics 2 Basics of Philosophy and Ethics 2

+ compulsory optional and optional courses during whole programme

 Autumn (Winter) semester MSc./1.y Spring (Summer) semester

Research Methodology 1 + Winter semester – Clinical psychology 1 1

Methodology of Movement Abilities Development 1

Applied Kinesiology 1 2 Statistics 3

Acupressure and Reflexology Methods 1 1 Applied Kinesiology 2 2

Physical Therapy 3 3 Acupressure and Reflexology Methods 2 1

Kinesiology 1 2 Applied Neurophysiology 2

Kinesiotherapy 1 3 Kinesiology 2 3

Clinical Practice 1 6 Kinesiotherapy 2 4

Social Work 1 Clinical Practice 2 6

Special Techniques 2 Summer Practical Training 1 4

Applied Biomechanics and Analysis of Movement 2 Research in Rehab.: Evidence-based Approach 3

Biology of Ageing 2 Imaging Methods of Movement System 1

Economics and Management of Healthcare Facility 1 Clinical psychology 2 2

Education in Health Care 1

 Autumn (Winter) semester MSc./2.y Spring (Summer) semester

Kinesiotherapy 3 2 Adapted physical activities 2

Professional Training 1 6 Philosophy – axiology 1

Pathophysiology of phys. load and function. diag. 1 1 Cardiovascular rehabilitation 1

Pneumology and pulmonary rehabilitation 1 Kinesiotherapy 4 2

Instrumentation in physiotherapy 1 Professional Training 2 6

Dermatology and Hygiene 1 Professional Training 3 6

Health Care Management 1

Motor skills and motor learning 2

Pathophysiology of phys. load and function. diag. 2 2

Kinesiotherapy 5 2

+ compulsory optional and optional courses during whole programme

RRR Centrum
− non-governmental health-care facility and teaching
workplace
− medical staff:
− specialists (neurologists, physiatrists, orthopaedics)
− physiotherapists with individual specialisation
− Assoc. Prof. Department of
Physiotherapy
− Ph.D.
− MSc.
− students in master degree programme
RRR Centrum – Covering the costs by IC
− based on:
− the list of procedures by insurance companies (more or less the same
for all) – e.g. techniques based on the neurophysiological approaches
(Bobath concept, PNF, …) = 524 pts in 2019

− the decree of the Ministry of Health Care establishing the value of 1

point for all professions (for Physiotherapy in 2019 = 0.81)
524*0.81 ≈ 424 Kč ≈ 18.7 USD

− all costs have to be approved by the physician reviewer

RRR Centrum – Tariff for cash payment
− complex examination by physician (60 min.) ≈ 31 USD
− initial physiotherapeutic examination (45 min.) ≈ 20 USD
− individual therapy (30 min.) ≈ 13 USD
...
− laser therapy (< 3 min.) ≈ 2 USD
− ultrasound therapy (< 10 min.) ≈ 4.5 USD
− magnetotherapy (30 min.) ≈ 9 USD
...
Administration – Praktik software